Health-X TPA Software®

Health X is an end-to-end TPA (Third Party Administrator) software. It is the outcome of over 15 years of highly competitive experience in the TPA insurance. It was designed to enable automated health benefits administration and auto-adjudication of claims. An enhanced user experience, improved patient care standards, highly decreased administrative costs, and much more, can all be attained while complying with any regulatory standards/laws.

This product can easily adapt to fit any existing infrastructure. The software allows customization with any third party application so as to handle the ever-changing demands of the market.

The Health-X TPA Software® is programmed to understand your needs and requirements better than any other TPA software.

Major modules include:

  • Enrollment & Profile Management
  • Claims Intimation
  • Claim Adjudication
  • Claims Audit & Investigation
  • Fraud Management
  • Finance Management
  • Web Portals
  • Grievance Management
  • Tracking Tool
  • Provider Management
  • Business Process Management
  • Granular Reporting & Dashboard
  • Document Management System
  • SMS, Email & Fax Integration

Additionally, a few features that will give your business the extra edge include:

  • Granular reporting and escalation matrix
  • Fast retrieval & archival of all kinds of documents
  • Supports business continuity plan (BCP)
  • Multiple Currency Management
  • Dashboards at tasks and department level
  • Tailored workflow as per your requirements
  • No location constraint on business processes
  • Automated alerts and notifications to assure high performance
  • Incorporates the best practice of keeping the character and image data in a single box.
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